Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis.
10.4163/kjn.2013.46.2.137
- Author:
Jinju LEE
1
;
Ji Myung KIM
;
Yuri KIM
Author Information
1. The Graduate School of Clinical Health Sciences, Ewha Womans University, Seoul 120-750, Korea. yuri.kim@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
diet-related QOL;
hemodialysis;
diet regimen practice;
health-related QOL;
gastrointestinal symptoms
- MeSH:
Compliance;
Constipation;
Humans;
Irritable Bowel Syndrome;
Kidney Failure, Chronic;
Kidneys, Artificial;
Korea;
Quality of Life;
Surveys and Questionnaires;
Renal Dialysis
- From:The Korean Journal of Nutrition
2013;46(2):137-146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study was to evaluate diet-related Quality of Life (QOL) and to analyze the relationship among diet-related QOL, dietary regimen practice, health-related QOL, and gastrointestinal symptoms in hemodialysis patients. Subjects were recruited from an artificial kidney center in Seoul. The self-report questionnaire consisted of socio-demographic characteristics, diet-related QOL, compliance with dietary regimen practice, health-related QOL, and gastrointestinal symptoms was distributed. Diet-related QOL includes a 'Quality of Life and Related to Dietary Change Questionnaire', 'Satisfaction Survey', and 'Dietary Impact Survey'. According to their responses, participants had experienced the greatest difficulty with 'Dietary Impact'. In particular, the mean score for general health was low. Association of dietary regimen practice showed a positive association with 'Cost' and 'Self-care' score. In addition, diet-related QOL showed positive correlation with health-related QOL, particularly in 'taste'. Scores for 'Taste', 'Convenience', and 'Dietary Impact' were lower for subjects with constipation compared to those of subjects without constipation. Scores for 'Taste' and 'Dietary Impact' were lower in subjects with irritable bowel syndrome compared to those of subjects without the syndrome (p < 0.05). Diet-related QOL showed a positive association with health-related QOL (p < 0.05), whereas it showed a negative association with constipation (p < 0.01). In conclusion, hemodialysis patients in Korea suffer from burden of dietary regimen practice and most scores for diet-related QOL and health-related QOL from patients with gastrointestinal symptoms were low. Therefore, appropriate nutrition education considering gastrointestinal symptoms is necessary for improvement of patients' QOL during dietary regimen practice.
